Organization
KATHY L. DUNAVAN DEHART DDS PLLC
Active
Other names
all about smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHY LYNN DEHART D.D.S. (OWNER)
(405) 418-0888
Entity
Organization
Contact information
Practice address
13400 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120-9007
(405) 418-0888
(405) 418-0891
Mailing address
13400 N PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73120-9007
(405) 418-0888
(405) 418-0891
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4924
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4924
STATE DENTAL BOARD
OK
Enumeration date
04/23/2008
Last updated
04/23/2008
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